Individual
LAURA EVANGELINE BAREFOOT O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CMGT-BC
Contact information
Practice address
6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223-5940
(270) 412-7395
Mailing address
3132 CARRIE TAYLOR CIR, CLARKSVILLE, TN 37043-1446
(931) 249-9225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
841048
TX
163WC0400X
Case Management Registered Nurse
Primary
2018081462
TX
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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